Monday, March 10, 2008
Sympathetic hyperparathyroidism
Sympathetic outlined by the Department of hyperthyroidism due to various reasons, the sympathetic excitatory effects arising from the enhanced performance of the organ 1 Series integrated symptoms. Performance of major respiratory accelerate heartbeat, elevated blood pressure, hyperglycemia, peripheral vasomotor obstacles, sweating, pupil to expand, eyes widening split, exophthalmos, vertigo, such as causalgia. Cause pathogenesis one. Systemic diseases : hypoxia, apnea, infection, bleeding and other opportunities in vitro stress. Systemic sympathetic nervous system excited sympathetic-adrenal medullary system also play a role. Sympathetic peripheral throughout the body to release more adrenaline, beta, Europium receptor excited, and have beta effect should Europium. 2. Local Lesions : (1) of brain lesions : craniopharyngiomas, and pituitary tumor, hypothalamic tumors, inflammation, injury, poisoning, vascular diseases. (2) spinal disease : cancer, traumatic hematoma, inflammation, disease syringomyelia. (3) mediastinal and neck diseases : mediastinal tumors, aortic arch aneurysm, apical lesions (pleural particularly sharp), cervical rib, pharynx tumor, goiter, cervical disease. (4) stimulation of peripheral nerve diseases : humeral fractures, shoulder and elbow dislocation, Polyneuritis, sacroiliac arthritis. spinal deformities (spina bifida, lumbarization, lumbar sacral), a pelvic tumor. These stimulate the sympathetic ganglia lesions or fibers, leading to increased sympathetic activity, its peripheral or adrenal release acetylcholine increased, Europium, beta, M strengthens. 3. Unknown diseases (1) Raynaud's disease : mechanism may be sympathetic to hyperthyroidism, or small artery dysplasia, vascular cold stimulation of serum and over-sensitive adrenaline caused cramps. Chronic vasospasm can induce artery wall thickening and blood more sluggish, if other factors can further reduce blood flow incidence. (2) acromegaly bruising disease : mechanism may be sympathetic with hyperthyroidism or endocrine dysfunction, vascular expansion, stasis of blood flow phenomena. (3) causalgia : possible for the median nerve, the sciatic nerve or tibial nerve incomplete injury, hypothalamic regulation occurred sympathetic impulse channels of peripheral nerve damage occurred when short circuit, exciting without myelin conduction to the C-sensory fibers, when these impulses excited feedback to the hypothalamus caused pain. A clinical performance. Elevated blood pressure, rapid heart rate : Stress was particularly prevalent in the hypothalamus or the rear by the stimulation. Between cerebral seizures suddenly elevated blood pressure, but with facial flushing, tears, salivation, sweating, dilated pupils, rapid heart rate increase, disturbance of consciousness, breathing rhythm changes, such as incontinence. 2. Mydriasis : light reflex exist, and many of unilateral mainly observed in the cervical sympathetic stimulation disease, accompanied by crack eyes expansion exophthalmos, ipsilateral facial sweating. This is known as wave-service (Pourfour clu Peitit) 2's syndrome. Hypothalamic lesions or stimulate the rear arise bilateral Mydriasis. 3. Vertigo, tinnitus, headache, nystagmus, short-term and Mongolia, neck rotation induced, this is known as posterior cervical sympathetic syndrome (Barre-lieou's syndrome). 4. Skin sweating, flushing : for the body, or partial body limitations. Limitations will be to strip, a single limb, hemineglect face, the distal extremities, cheek and chin, and so on. 5. Raynaud's Phenomenon : symmetry two fingers suddenly turns white, then blue and purple, for a few minutes and then switch back to normal flushing. Local ease hot, cold induced, may lack the typical pale, purple flushes of one performance, there are serious obstacles to the skin nutrition, ulcers or necrosis. 6. Pale purple without acromegaly : exposed heavier cold air, warm or at ease, physically and drooping aggravating, reduce the crucifixion, with swelling, numbness and scleroderma-like change. 7. Causalgia : there shortly after the trauma, fingers palms and the soles of the feet of the most intense, damaged skin thinning and bright, sweating, empurple acromegaly redness, pain acromegaly hypersensitivity.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment